Healing of Solitary Rectal Ulcers With Multiple Sessions of Argon Plasma Coagulation

Somani, Sanjay Kumar; Ghosh, Arindam; Avasthi, G; Goyal, Richa; Gupta, Puneet

doi:10.1111/j.1443-1661.2010.00941.x

Cited by 19 publications

(18 citation statements)

References 11 publications

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“…The coagulated surface undergoes the processes of superficial coagulation necrosis as a result of mucous membrane blanching, water evaporation and tissue shrinking. This involves only the superficial layer [6, 9, 10]. The APC was effective in stopping the bleeding in our case and other authors’ cases.…”

Section: Discussionsupporting

confidence: 63%

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Effective treatment of solitary rectal ulcer syndrome using argon plasma coagulation

Waniczek¹,

Rdes²,

Rudzki³

et al. 2014

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Solitary rectal ulcer syndrome (SRUS) is a chronic, multiform, non-cancerous disorder of the rectum, the final diagnosis of which is based upon histopathological criteria. This disorder is often accompanied by latent proctoptosis. We present a patient who (in 1996) was the first case in which argon plasma coagulation (APC) was used for SRUS treatment. In the years 2004–2005 the same patient underwent 15 APC sessions (at monthly intervals) obtaining full recovery from SRUS, although she had been treated unsuccessfully for 17 years prior to that. Six-year observation did not show any relapse. Local therapy with APC seems to be an important alternative in SRUS treatment without prolapse of the rectum and could become a basic method for bleeding treatment in SRUS.

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Section: Discussionsupporting

confidence: 63%

“…The APC was effective in stopping the bleeding in our case and other authors’ cases. It seems to be effective also in healing solitary rectal ulcer syndrome [6, 10]. …”

Section: Discussionmentioning

confidence: 99%

Effective treatment of solitary rectal ulcer syndrome using argon plasma coagulation

Waniczek¹,

Rdes²,

Rudzki³

et al. 2014

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“…The selection and success of therapy varies from patient to patient. Recently, the argon plasma coagulation technique has been reported to be effective in SRUS therapy (11). Patients should also be discouraged from using the digital stimulation technique to ease defecation.…”

Section: N Discussionmentioning

confidence: 99%

Massive lower gastrointestinal bleeding associated with solitary rectal ulcer in a patient with Behçet’s disease

et al. 2015

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SUMMARYSolitary rectal ulcer syndrome is a rare benign disorder that has a wide range of clinical presentations and variable endoscopic fi ndings which makes it diffi cult to diagnose and treat. The clinical and endoscopic picture in this condition can also mimic malign ulceration, malignancy or Crohn's disease. Behçet's disease can affect the gastrointestinal tract. However to the best of our knowledge, no case with solitary rectal ulceration has been reported so far in literature. We herein present a patient diagnosed with Behçet's disease admitted to our clinic with rectal bleeding due to solitary rectal ulceration.

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“…Argon plasma coagulation has been used to treat haemorrhage from SRUS. Somani et al [19] showed that combined dietary therapy, biofeedback, and argon plasma coagulation allowed bleeding control in 100%, complete healing of ulcers in 75%, and a reduction in ulcer size in the remaining 25% of their patients. Among the 24 patients, paediatric patients were included.…”

Section: Discussionmentioning

confidence: 99%

Solitary Rectal Ulcer Syndrome: A Paediatric Case Report

Abreu¹,

Alves²,

Pinto

et al. 2017

GE Port J Gastroenterol

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Síndrome da Úlcera Retal Solitária: Relato de um Caso PediátricoPalavras Chave Criança · Doenças do recto · Hemorragia gastrointestinal · Síndrome · Úlcera Resumo Introdução: O Síndrome da Úlcera Retal Solitária (SRUS) é uma doença benigna incomum que afeta predominantemente jovens adultos, sendo rara na população pediátri-ca. Caso Clínico: Rapariga de 12 anos com história de 6 meses de evolução de tenesmo, aumento da frequência defecatória e retorragias com muco. Sem antecedentes de obstipação ou outras queixas. Na observação inicial, o exame físico e o estudo analítico eram normais. O exame bacteriológico e virológico das fezes foi negativo. A colonoscopia realizada revelou uma úlcera única no reto distal, a 6 cm da margem anal. As biópsias confirmaram o diagnóstico de SRUS. Apesar do tratamento conservador, os sintomas persistiram. A defecografia mostrou um pequeno retocelo, sem prolapso da mucosa. Devido à proximidade com o esfíncter anal, não foi efectuado tratamen- KeywordsChild · Gastrointestinal haemorrhage · Rectal diseases · Syndrome · Ulcer Abstract Introduction: Solitary rectal ulcer syndrome (SRUS) is an uncommon benign rectal disease. Mostly young adults are affected, and it is rare in paediatric populations. Clinical Case: We present a 12-year-old girl with a 6-month history of tenesmus, frequent defaecation, and bloody stools with mucus. There was no previous history of constipation or other symptoms. At the first visit, physical examination and routine laboratory test results were normal. A stool examination for bacteria and parasites was negative. Colonoscopy revealed a single ulcer in the distal rectum 6 cm from the anal margin. SRUS was confirmed by biopsy. Despite conservative measures, the symptoms persisted. A defaecation proctography showed a small rectocele with no rectal mucosal prolapse. Because of its proximity to the anal sphincter, no surgical intervention was performed. Conclusion: The present case illustrates how difficult the management of SRUS is. Multicentre studies are needed to establish treatment protocols for children. to cirúrgico. Conclusão: O presente caso ilustra o quão difícil é a abordagem do SRUS. São necessários estudos multicêntricos para estabelecer protocolos de tratamento na idade pediátrica.

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Healing of Solitary Rectal Ulcers With Multiple Sessions of Argon Plasma Coagulation

Abstract: APC controls bleeding in patients with SRUS and it also improves the healing of these ulcers.

Cited by 19 publications

References 11 publications

Effective treatment of solitary rectal ulcer syndrome using argon plasma coagulation

Effective treatment of solitary rectal ulcer syndrome using argon plasma coagulation

Massive lower gastrointestinal bleeding associated with solitary rectal ulcer in a patient with Behçet’s disease

Solitary Rectal Ulcer Syndrome: A Paediatric Case Report

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